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General NPI Number Information
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NPI Number | 1326917436
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Entity Type | Organization
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Legal Business Name | RESILIENT MIND MENTAL HEALTH & BEHAVIORAL CARE, LLC
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 943 N. MAGNOLIA AVE SUITE 222
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City | ORLANDO
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State | FL
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Zip | 32803
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Country | US
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Telephone | 352-782-2449
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Fax |
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Provider Business Mailing Address
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Address Line | 16009 ST CLAIR ST
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City | CLERMONT
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State | FL
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Zip | 34714-6515
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Country | US
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Telephone | 352-782-2449
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Fax |
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MR. EDDIE FIGUEROA
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Credential |
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Telephone | 941-218-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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